Rubber Band Ligation - Procedure

Procedure

Rubber band ligation procedure is as follows:

1. Pre-treatment diagnosis and prescribed medications
   • After diagnosis of the second-degree hemorrhoid, antibiotics are often prescribed, especially to patients with immune deficiency or other medical conditions. Sometimes, a couple weeks of Mesalamine is prescribed prior to the rubber band ligation procedure.
2. Positioning
   • The patient is laid down on the left side, with knees drawn up and buttocks projecting over the operating table.
3. Application of the band
   • A proctoscope is inserted into the anal opening. The hemorrhoid is grasped by forceps and maneuvered into the cylindrical opening of the ligator. The ligator is then pushed up against the base of the hemorrhoid, and the rubber band is applied.